Blended learning has been evolving as an important approach to learning and teaching in tertiary education. This approach incorporates learning in both online and face-to-face modes and promotes deep learning by incorporating the best of both approaches. An innovation in blended learning is the use of an online media annotation tool (MAT) in combination with face-to-face classes. This tool allows students to annotate their own or teacher-uploaded video adding to their understanding of professional skills in various disciplines in tertiary education. Examination of MAT occurred in 2011 and included nine cohorts of students using the tool. This article canvasses selected data relating to MAT including insights into the use of blended learning focussing on the challenges of combining face-to-face and online learning using a relatively new online tool.